Lazo, Marcela A

Lazo, Marcela A is an individual health care provider with primary practice located at 4671 S Congress Ave Suite 100B, Lake Worth FL 33461-4783. She recently has 2 registered licenses in different health care specialties including Other Service Providers / Specialist, Allopathic & Osteopathic Physicians / Obstetrics & Gynecology. Allopathic & Osteopathic Physicians / Obstetrics & Gynecology is her primary health care specialty. Lazo, Marcela A can be contacted via phone (561) 434-0111.

Contact Information

Primary practice address
4671 S Congress Ave Suite 100B Lake Worth FL 33461-4783
Phone: (561) 434-0111
Fax: (561) 296-3533
Website:
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Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Specialist 174400000X
Allopathic & Osteopathic Physicians / Obstetrics & Gynecology 207V00000X ME110131 Florida

Profile Details

NPI number 1629262126
LBN Legal business name Lazo, Marcela A
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 28th, 2007
Last updated Sep 18th, 2019 - about 5 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1629262126 NPPES
Florida Other LN461 MEDICARE
Florida Other 14FW0 MEDICARE
Florida MEDICAID 004197300 MEDICARE

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